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Ranked #5 · Grade B+

Strut Health review

$99/month sublingual semaglutide — among the lowest entry costs we track — from one of the very few programs selling the same molecule as a lozenge or an injection at a single price.

Visit Strut Health Assume any provider we list may compensate us — we may earn a commission, at no cost to you. It never changes the Cost-Efficiency Index. See our disclosure.
Semaglutide
From $99/mo sublingual, $149/mo injectable
Tirzepatide
From $199/mo either route
Coverage
49 states (not Arkansas)
Brand-name
Compounded only

Semaglutide · modeled / year

$1,188

Tirzepatide · modeled / year

$2,388

Pricing verified August 2026

The Index scorecard

Strut Health scored on our six Cost-Efficiency Index factors. See the methodology.

Normalized Cost/Month92/100
Price Transparency84/100
Nationwide Access90/100
Formulation Options95/100
Clinical Oversight68/100
Contract Flexibility92/100

Where the value is

  • $99/mo for sublingual semaglutide is among the lowest disclosed rates we track; tirzepatide is $199 either route
  • Sublingual lozenges for both molecules at the same price as the injection
  • Free physician visit, free shipping and free follow-up care included rather than billed separately
  • Cancel, pause or delay yourself with 48 hours' notice before processing

The tradeoffs

  • The $99 and $149 headline figures require auto-refill — a one-off order costs more, so the true cost depends on staying subscribed
  • Asynchronous by design: their FAQ notes some states need no phone consultation, so you may never speak to the prescriber
  • Compounded only, with no brand-name route and no published lab program
  • Not available in Arkansas

The bottom line

Best for: Anyone optimizing total monthly outlay who will keep an auto-refill running, and anyone whose real objection is the needle. $99/month sublingual semaglutide — among the lowest entry costs we track — from one of the very few programs selling the same molecule as a lozenge or an injection at a single price.

Ranked #5 of 539 providers on the Cost-Efficiency Index — see our #1 pick, CoreAge Rx, for comparison.

Compare with other providers

All 538 other providers we've modeled, in Cost-Efficiency Index order. See the ranked alternatives to Strut Health.

The 21 programs nearest this one

Pricing, states and verification reflect Strut Health's public disclosures at last review; the Cost-Efficiency Index is our editorial judgment per the methodology. Prices change — confirm on Strut Health's site. Not medical advice; see our disclosure.

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